Apply for Agent of Creativity aka Daycare Teacher

To be considered for this position at HealthCARE Express, please fill out the application below and click Submit. Fields with an asterisk (*) are required.

Title:Agent of Creativity aka Daycare Teacher
Clinic:TX- Sportsplex
Job Type:Non-exempt (hourly)
Salary Range:TBD
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Supported formats: Word, PDF, RTF, Text, and HTML.
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Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
* Have you ever worked for HealthCARE Express in the past, including as a volunteer or as part of an internship?
If yes, what did you do and which clinic did you work at?
* Why are you interested in this position?
* Have you ever been convicted of a felony or misdemeanor? (A conviction will not necessarily result in the denial of employment).
If yes, please explain.
* When would you be available to begin work?
* Hourly Rate or Salary Desired
* Are you currently employed?
If yes, may we contact your current employer?
If presently employed, why are you considering leaving?
School 1 Name & Location
School 1 Did You Graduate?
School 1 Degree Received
School 1 Subjects Studied or Major
School 2 Name & Location
School 2 Did You Graduate?
School 2 Degree Received
School 2 Subjects Studied or Major
School 3 Name & Location
School 3 Did You Graduate?
School 3 Degree Received
School 3 Subjects Studied or Major
Please list any additional courses, seminars, or trainings that would help you to perform in this position.
Employer 1 From
Employer 1 To
Employer 1 Company
Employer 1 Job Title
Employer 1 Phone
Employer 1 Supervisors Name
Employer 1 May We Contact This Company?
Employer 1 Your Responsibilities/Duties
Employer 1 Reason for Leaving
Employer 2 From
Employer 2 To
Employer 2 Company
Employer 2 Job Title
Employer 2 Phone
Employer 2 Supervisors Name
Employer 2 May We Contact This Company?
Employer 2 Your Responsibilities/Duties
Employer 2 Reason for Leaving
Employer 3 From
Employer 3 To
Employer 3 Company
Employer 3 Job Title
Employer 3 Phone
Employer 3 Supervisors Name
Employer 3 May We Contact This Company?
Employer 3 Your Responsibilities/Duties
Employer 3 Reason for Leaving
* Reference 1 Name
* Reference 1 Relationship
* Reference 1 Phone
* Reference 1 Email
* Reference 2 Name
* Reference 2 Relationship
* Reference 2 Phone
* Reference 2 Email
* Reference 3 Name
* Reference 3 Relationship
* Reference 3 Phone
* Reference 3 Email
* In exchange for the consideration of my job application by HealthCARE Express, I agree that neither the acceptance of this application nor the subsequent entry into any type of employment relationship.
* I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice.
* I understand that (1) HealthCARE Express has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment and my continued employment.
* I understand that, in connection with the routine processing of my employment application, HealthCARE Express may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, & reputation.
* I understand my employment with HealthCARE Express shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with HealthCARE Express is terminable at will.
* I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
* Signature (type name)
* Date
Daycare Questionnaire
* What (if any) experience do you have planning and implementing activities/lesson plans?
* What (if any) experience do you have supervising or leading groups of children?
* Describe in more detail your past work experience with children.
* Are you at least 18 years old?

(If you are under 18, you can still be eligible to work in the Summer program):
* Do you have a high school diploma?
* Which age group(s) are you most interested in working with?
0-11 months
12-23 months
2 year olds
3 year olds
4 year olds
5-12 year olds
* Have you had any Child Development Associate Credentials
18 hours of child development coursework?:
* Have you had 6 months of experience in a childcare setting?:
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
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American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
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A person having origins in any of the Black racial groups of Africa
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A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
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A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
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Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
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All persons who identify with more than one of the above races
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